Application for Employment

Name *
Phone *
Home Address *
Home Address
Are you over the age of 18?
Are you a United States citizen or alien legally authorized to work in the United States?
Have you applied at Heartland before? *
Did you graduate from High School or obtain your GED? *
Did you attend/graduate from a College, University, Seminary or Vocational School? *
Did you attend/graduate from Post Graduate school? *
May we contact the above employers for a reference? *
Are any of your relatives employed at Heartland Church? *
Applicants Certification and Agreement: *
I certify that the facts set forth in this application for employment are true and complete to the best of my knowledge. I understand that if I am employed, false or misleading statements made herein may result in my dismissal. I authorize Heartland Church, or an delegated agent acting on their behalf, to make investigation on any of the facts set forth in this application. I understand that employment with Heartland Church is "at will", which means that either I or Heartland Church can terminate the employment relationship at anytime, with or without prior notice, and for any reason not prohibited by statute. All employment is continued on that basis. If I am employed, I agree to provide appropriate identification of employment eligibility in accordance with the Immigration Reform and Control Act of 1986. If I do not comply with the requirements of the Act, I understand that the offer of employment may be revoked.

*Heartland does not discriminate in employment opportunities or practices on the basis of race, color, sex, national origin, age, or any other characteristic protected by law. A criminal conviction or a bad credit score is not an automatic denial to employment. Functioning as a religious organization, Heartland Church is exempt from the ban on religious discrimination in employment.